Individual
KELLI CONWILL CRANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 BAPTIST DR STE 401, MADISON, MS 39110-2012
(601) 973-1517
(601) 973-1623
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901375
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09627870
—
MS
Enumeration date
11/04/2015
Last updated
01/07/2022
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